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<br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWFUL GAMBLING ACTIVITY <br /> <br />G-I SCHEDULE F <br />~LING FUND RECONCILIATION <br /> <br />Organization Name <br />Dead Broke Saddle Club <br />Gambling checking account <br />1 End-of-month checking account balance from statements. . . 1 <br />2 Deposits made during the month not included in line 1 . . . 2 <br />3 Add lines 1 and 2 · · · · . . . . . . . . . . . . . . 3 <br />4 Checks written during the month not included in line 1. 4 <br />5 RECONCILED BANK BALANCE (line 3 minus line 4) . . . . . . . 5 <br /> <br />License Number <br />03800 <br /> <br />Report Month/Year <br />MARCH 2003 <br /> <br />101.584.79 <br />5.418.00 <br />107.002.79 <br />49.776.00 <br />57.226.79 <br /> <br />Other funds not included in Checking Balance <br />6 Starting banks for games . . 6a 12.800.00 <br />Reimbursment after monthend. 6b 0.00 <br />Monthend cash balance in starting banks. . 6 <br /> <br />7 Total ending inventory (G-l line 21) . . . 7 <br /> <br />8 Deposit after month-end for Games in G-I. 8 <br /> <br />12.800.00 <br />4.285.99 <br />0.00 <br />0.00 <br /> <br />9 Total in Savings & Other funds. . . . <br /> <br />10 Excess shortages (G-l, 34) and prior <br />reimbursement due for excess shortages <br /> <br />9 <br /> <br />10 <br /> <br />0.00 <br /> <br />11 Fund Loss. (LG-250) . . . . IIa <br />Refund Due (G-7430) . . . . lIb <br />Open-Game prizes,by check . lIe <br />Prizes bought, not awarded. lId <br />Other additions. . . . lie <br /> <br />0.00 <br />999.90 <br />0.00 <br />0.00 <br />0.00 <br />Total 11 <br /> <br />999.90 <br /> <br /> <br />· · . . . 12 <br /> <br /> <br />· . . . . 13 <br /> <br />18.085.89 <br />75.312.68 <br /> <br />12 Add lines 6, 7, 8, 9, 10, II . . <br />13 Add lines 5 and 12 . . . . . . . <br /> <br />Unpaid Obligations and Open Game Deposits <br />14 Tax from G-l line 13 and any <br />prior months ta~es. · . . .. ... . 14 <br /> <br />15 Deposits for games still in play. . 15 <br /> <br />14.999.52 <br />0.00 <br /> <br />16 Loaned amounts included in bank statement. 16 0.00 <br /> <br />17 Product part of unpaid invoices. . <br /> <br />18 Other subtractions. . <br /> <br />. . . . <br /> <br />17 <br />. 18 <br /> <br />0.00 <br />0.00 <br /> <br />19 Add Lines 14 through 18. . <br /> <br />GAMBLING FUNDS RECONCILIATION <br />20 GAMBLING FUND BALANCE (line 13 minus 19) . . . . . . <br />21 PROFIT CARRY-OVER (from Form G-I line 44). . . . . . <br /> <br />22 FUND BALANCE equals PROFIT CARRY-OYER, Difference. . <br /> <br />19 <br /> <br />14.999.52 <br /> <br />. 20 <br />. 21 <br />. 22 <br /> <br />60.313.16 <br />60.313.16 <br />0.00 <br /> <br />Signature <br />of Preparer <br />~ss 7/99 <br /> <br />Date <br /> <br />612/464-7225 <br />